Table 2:

Key Process Steps for Developing and Implementing the Community Health Resources and Needs Assessment with Community Partners

Key Process Step & Summary Actions	Summary Actions from CHRNA Community-Engaged Process	Example Activities from CHRNA Rounds
Step 1: Community Priority Identification –Listen and elicit community priority topic areas; learn community capacity needs.	• CSAAH study team members led active listening sessions with CBO partners to identify priority areas and key populations. • CBO partners closely contributed to the development of the survey instrument in order to strengthen and tailor the instrument for community use. • Revisions included edits to question phrasing the inclusion or exclusion of questions based on relevancy to the local community subgroup.	• The Project RICE coalition and the DREAM Coalition tailored questions to elicit smokeless tobacco use (e.g. paan, bidis) for South Asian and Himalayan communities. • Alcohol use was omitted for the Bangladeshi community due to partners’ feedback on the cultural inappropriateness for a largely Muslim community. • Emerging populations (e.g. Arabs, Indo-Caribbeans, Nepalese, and Himalayans) were prioritized by partners due to an overall lack of existing data. • Questions were updated and additional scales included with community partner feedback in Round 3 (2021-present).
Step 2: Design, Refine, and Tailor Community Survey – Collaboratively co-create survey tool; adapt for cultural and linguistic relevancy, including translation	• Once partners reached a consensus on survey instrument design, bilingual CSAAH staff, CBO partners, or community members translated and reviewed surveys for cultural and linguistic accuracy.
Step 3: Build community capacity by providing survey training and supports – Provide community surveyor training, and follow community partners’ direction in identifying appropriate channels, venues, and events for survey implementation.	• CSAAH provided tangible support and technical assistance to community partners, in order to strengthen their capacity to lead survey administration. • Support included survey administration training, follow-up on community-based data collection, and help specific to data analysis and dissemination.	• During Rounds 1 and 2, CSAAH staff and interns received survey administration training. During Round 3, the CSAAH study team trained community partners to lead survey administration in their local AA or NH/PI regional communities. • During all rounds, surveys were administered at CBO settings (e.g. informational settings), at cultural events (e.g. food, health, and street fairs), and community celebrations and events hosted by faith-based organizations. • During Round 2, CSAAH and community partners co-developed one-page recruitment flyers for each AA subgroup in NYC, summarizing project goals and key findings from Round 1.
Step 4: Dissemination of Results – Collaboratively identify how and where (format, venues) to share back findings to the community	• Community partners directed how to provide findings to the community with usable, actionable products; the importance of clear visuals and brief, key points in plain language format were emphasized by CBOs. • Community partners reviewed and translated community briefs to share at CBO offices, community events (e.g. as galas and anniversary celebrations), and for social media channels and the CSAAH website.	• CSAAH and CBO partner staff presented CHRNA findings at invited seminars as well as regional and national symposia and conferences for Rounds 1 and 2 in order to promote community-engaged survey methods, to spotlight the health priorities of disaggregated AA subgroups, and highlight areas of further expansion. • Findings were disseminated to community audiences, and community briefs were distributed at co-hosted health events with CBO partners. • In Round 2, culturally-tailored “community briefs” with key takeaways and infographics were designed for low health literacy community members in order to emphasize community strengths and areas for growth.